| Plum Creek Dental Group | |
|
1711 S Colorado St Ste D Lockhart TX 78644-4616 | |
| (512) 398-5755 | |
| (512) 398-5799 |
| Full Name | Plum Creek Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1711 S Colorado St Ste D, Lockhart, Texas |
| Authorized Official Name and Position | Malcolm R. Berg (OWNER) |
| Authorized Official Contact | 5123985755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plum Creek Dental Group 1711 S Colorado St Ste D Lockhart TX 78644-4616 Ph: (512) 398-5755 | Plum Creek Dental Group 1711 S Colorado St Ste D Lockhart TX 78644-4616 Ph: (512) 398-5755 |
| NPI Number | 1306154166 |
|---|---|
| Provider Enumeration Date | 09/15/2010 |
| Last Update Date | 09/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306154166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17463 (Texas) | Primary |
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